Summary
Overview
Work History
Education
Skills
Languages
EHR & PMS
Specialties worked on
Timeline
Generic

NIKUNJ M RATHOD

Botad

Summary

Team Lead with extensive experience at EmpClaims, specializing in client relationship management and process automation. Successfully led initiatives that improved operational efficiency and boosted client retention rates. Skilled in strategic planning and cross-functional collaboration, consistently achieving production targets. Expertise in process optimization, project management, and data analysis, driving streamlined workflows and enhanced productivity.

Overview

8
8
years of professional experience

Work History

Team Lead: Account Receivable/CSM

EmpClaims
Ahmedabad
01.2023 - 04.2025
  • Managed production and quality expectations for accounts without client escalations.
  • Implemented performance, quality, and efficiency measures to achieve aggressive production goals.
  • Coordinated with department leads to address business needs as they arose.
  • Assigned duties to associates while monitoring workflow and performance daily.
  • Communicated daily goals and instructions to team members individually.
  • Trained employees and assisted in workflow improvements to enhance efficiency.
  • Oversaw an average of Twelve to Fourteen employees daily to meet standards.
  • Implemented automation in processes to reduce human error and increase efficiency.
  • Primary Point of contact for Clients, ensuring transparency and consistent communication throughout the revenue cycle process
  • Collaborated with internal teams to address client specific challenges and delivered tailored solutions.
  • Conducted regular business reviews, facilitated client onboarding, and contributed to upselling opportunities by identifying client needs and aligning them with additional service offerings.
  • Increased overall client retention and played a pivotal role in recurring revenue.
  • Led resolutions efforts for escalated issues, performed audits to identify opportunities to optimize cash flow

Auditor: Account Receivable

EmpClaims
Ahmedabad
12.2021 - 12.2022
  • Implemented performance and quality measures to achieve aggressive production goals.
  • Conducted comprehensive audits to enhance account health and operational efficiency.
  • Coordinated with department leads to minimize client escalations regarding account issues.
  • Led team initiatives to foster a collaborative work environment.
  • Facilitated training sessions to address employee areas for improvement.
  • Established quality criteria to safeguard account health and revenue integrity.
  • Maintained regular discussions with leaders to ensure alignment on project updates.

SR. AR ASSOCIATE

EmpClaims
Ahmedabad
03.2021 - 11.2021
  • Achieved expected targets with high-quality outcomes within assigned turnaround time.
  • Managed aging and denial cases to enhance recovery rates.
  • Provided guidance to teammates, sharing knowledge to facilitate improvement.

SR. RCM ASSOCIATE

AMMedsol Pvt.Ltd.
Ahmedabad
07.2019 - 12.2020
  • Achieved expected targets while maintaining high-quality standards within assigned turnaround time.
  • Collaborated with teammates to enhance skills and share valuable information.
  • Managed payment posting tasks to ensure accurate financial records.
  • Processed facility claims to facilitate timely reimbursements.

AR ASSOCIATE

EmpClaims
Ahmedabad
05.2017 - 05.2019
  • Worked on assigned Account within given TAT.
  • AR Calling and Claims status.
  • Worked on Facility Claims.
  • Basic understanding of RCM.
  • Worked on Prior Authorization.

Education

Bachelor of Pharmacy -

Shree Samanvay Institute of Pharmacy Research & Education
Botad, GJ
05.2015

Skills

  • Client relationship management
  • Performance measurement
  • Process automation
  • Team leadership
  • Accounts receivable
  • Quality assurance
  • Cross-functional coordination
  • Client satisfaction
  • KPI tracking
  • Strategic planning
  • Stakeholder communication

Languages

Gujarati
First Language
English
Advanced (C1)
C1
Hindi
Proficient (C2)
C2

EHR & PMS

  • AdvancedMD
  • eClinicalWorks (eCW)
  • CGM Aprima
  • Athena
  • OfficeAlly
  • OmniMD
  • Allscript
  • EZClaims
  • Daisybill
  • Epic
  • Systoc
  • Kareo
  • Practicefusion
  • Dr.CHrono

Specialties worked on

  • Internal Medicine
  • Vascular surgery
  • Cardiology
  • Podiatry
  • Asthma & Allergy
  • Home Health Services
  • Urgent Care
  • Pain management and rehab
  • Arthritis
  • Ophthalmology
  • Rheumatology
  • Physical therapy

Timeline

Team Lead: Account Receivable/CSM

EmpClaims
01.2023 - 04.2025

Auditor: Account Receivable

EmpClaims
12.2021 - 12.2022

SR. AR ASSOCIATE

EmpClaims
03.2021 - 11.2021

SR. RCM ASSOCIATE

AMMedsol Pvt.Ltd.
07.2019 - 12.2020

AR ASSOCIATE

EmpClaims
05.2017 - 05.2019

Bachelor of Pharmacy -

Shree Samanvay Institute of Pharmacy Research & Education

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NIKUNJ M RATHOD